NCT01983813

Improved Cardiovascular Risk Reduction to Enhance Rural Primary Care

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 302 (actual)
• Sponsor: Korey Kennelty · Academic / Other
• Sex: All
• Age: 50 Years
• Healthy volunteers: Not accepted

Summary

The trial will examine whether a centralized Prevention Health \& Cardiovascular Risk Service (PHCVRS) run by clinical pharmacists at the University of Iowa can be implemented in primary care offices and whether it can improve the care delivered to patients at risk for developing cardiovascular disease.

Detailed description

The use of clinical pharmacists in primary care has improved the control of several chronic cardiovascular conditions. However, many private physician practices lack the resources to implement team-based care with pharmacists. The purpose of this study was to evaluate whether a centralized, remote, clinical pharmacy service could improve guideline adherence and secondary measures of cardiovascular risk in primary care offices in rural and small communities. This study was a prospective trial in 12 family medicine offices cluster randomized to either the intervention or usual care. The intervention was delivered for 12 months, and subjects had research visits at baseline and 12 months. The primary outcome was adherence to guidelines, and secondary outcomes included changes in key cardiovascular risk factors and preventative health measures. We enrolled 302 subjects.

Conditions

• Diabetes Mellitus
• Hypertension
• Coronary Artery Disease
• Atrial Fibrillation
• Stroke

Interventions

Type	Name	Description
OTHER	PHCVRS Intervention	A clinical pharmacist at the PHCVRS will follow each participant in the PHCVRS arm for 12 months, including: 1. Contact via email, phone or text every 2-4 weeks 2. Assessment and counseling for medication adherence, side effects, and lifestyle modifications to decrease risk of cardiovascular disease. 3. Collaborative communication with the participant's physician to address gaps in screening or therapy, update medication list, and recommend medication changes. Each participant in this arm will also have access to an online Personal Health Record that can be used to track medications, diagnosed conditions and laboratory values related to cardiovascular disease risk.
OTHER	Personal Health Record	Participant will be able to access an online Personal Health Record for tracking medications and diagnosed conditions

Timeline

• Start date: 2014-03-19
• Primary completion: 2016-11-01
• Completion: 2018-04-01
• First posted: 2013-11-14
• Last updated: 2019-08-13

Locations

12 sites across 1 country: United States